Fiscal Year 2024 Budget & Tax Rate

Every summer, Central Health develops its annual budget for the next fiscal year. A fiscal year is the twelve-month period that an organization uses for budgeting, forecasting and reporting. Central Health’s fiscal year (FY) starts on Oct. 1 and ends on Sept. 30 of the following calendar year.

The Central Health Board of Managers will vote to approve the Fiscal year 2024 Budget & Tax Rate at the scheduled Board of Managers meeting Wednesday September 6 at 3:00 p.m. or immediately following the Central Health Executive Committee Meeting at the Central Health Administrative Offices, 1111 E. Cesar Chavez St., Austin, Texas 78702.

STAY INFORMED AND INVOLVED

Central Health believes the community must be at the center of addressing healthcare inequities. Therefore, involving the voice of the community in this work is ongoing. We encourage all partners, stakeholders and community members to get involved.

Ways to get involved:

Subscribe for updates and stay involved:
- Click the “Subscribe” button at the bottom of this page or
- Text “budget” to (512) 855-6227.
If your community advocacy or neighborhood group would like to learn more about this initiative, please contact Yesenia Ramos for more information. We are bringing this information to community advocacy and neighborhood group meetings to get more people involved.
Watch the Aug. 30 Public Hearing

QUICK LINKS

Sources Summary – Attachment AUses Summary – Attachment B

wdt_ID	DESCRIPTION	FY 2024 PROPOSED BUDGET – 9/6/2023	FY 2024 PROPOSED BUDGET – 9/25/2023
1	TAX RATE	0.100692	0.100692
2	FTEs	530.5	530.5
3	Beginning Balance	407,730,068	407,730,068
4	REVENUE
5	Property Taxes	312,456,814	312,456,814
6	Lease Revenue	12,022,497	12,022,497
7	Tobacco Litigation Settlement	4,500,000	4,500,000
8	Other	7,500,000	7,500,000
9	Total Revenue	336,479,311	336,479,311
10	Available Budgeted Resources	744,209,379	744,209,379
11	EXPENSES
12	Healthcare Delivery	292,746,806	295,246,806
13	Administration	28,647,030	28,647,030
14	UT Affiliation Agreement	35,000,000	35,000,000
15	Transfers Out	8,019,240	8,019,240
16	Contingency Reserves	379,796,303	377,296,303
17	Total Expenses	744,209,379	744,209,379
18	Increase/Decrease in Fund Balance	–	–
19	Ending Fund Balance	–	–
20	RESERVES
21	Emergency Reserves	46,739,076	46,739,076

(1) Healthcare Delivery Contingency Reserves to be appropriated for FY2024

wdt_ID	DESCRIPTION	FY 2024 PROPOSED BUDGET 9/6/2023	FY 2024 PROPOSED BUDGET – REVISED	Budget Additions
1	HEALTHCARE DELIVERY
2	Purchased Healthcare Services
3	Primary Care: Medical, Dental, & Behavioral Health	71,282,200	71,782,200	500,000
4	Specialty Care: including Specialty Dental	30,188,000	30,188,000
5	Specialty Care: Behavioral Health	20,675,000	20,675,000
6	Post Acute Care	7,250,000	7,250,000
7	Pharmacy	18,000,000	18,000,000
8	Community Health Care Initiatives Fund	875,000	875,000
9	Inmate Health		2,000,000	2,000,000
11	Purchased Healthcare Services	148,270,200	150,770,200	2,500,000
12	Direct Healthcare Services
13	Podiatry	1,877,022	1,877,022
14	Cardiology	2,079,895	2,079,895
15	Neurology	1,264,294	1,264,294
16	Gastroenterology	2,039,621	2,039,621
17	Nephrology	1,129,700	1,129,700
18	Pulmonology	1,370,648	1,370,648
19	Transitions of Care	4,074,868	4,074,868
20	Medical Respite	906,886	906,886
21	Diagnostics and Ancillary	3,511,294	3,511,294
22	Clinical Support	11,022,146	11,022,146
23	Direct Healthcare Services Total	29,276,374	29,276,374	0
24	MAP Eligibility – Increase in eligibility period	1,000,000	1,000,000
25	Total Healthcare Services	178,546,574	181,046,574	2,500,000
26	Healthcare Operations & Support
27	Salary and Benefits	33,878,558	33,878,558
28	ACA Healthcare Premium Assistance Programs	18,587,364	18,587,364
29	Enrollment Assistance	575,000	575,000
30	Real Estate and Campus Redevelopment	1,920,360	1,920,360
31	UT land lease for teaching hospital	1,037,550	1,037,550
32	Legal	766,000	766,000
33	Consulting	2,315,000	2,315,000
34	Other professional goods & services	10,198,035	10,198,035
35	Outreach and Education	1,352,211	1,352,211
36	Leased Facilities, Security and Maintenance	5,699,000	5,699,000
37	Insurance and Risk Management	400,000	400,000
38	Information Technology	13,855,455	13,855,455
39	Printing, Copying, Postage and Signage	724,105	724,105
40	Travel, training and professional development	1,186,250	1,186,250
41	Other operating expenses	738,883	738,883
42	Health Care Capital Line of Credit	500,000	500,000
43	Debt service – principal retirement	7,440,000	7,440,000
44	Debt service – interest	7,026,462	7,026,462
45	Transfer to Sendero Risk-Based Capital	6,000,000	6,000,000
46	Total Healthcare Operations	114,200,233	114,200,233	0
47	Total Healthcare Delivery	292,746,806	295,246,806	2,500,000
48	ADMINISTRATION
49	Salary and Benefits	14,673,415	14,673,415
50	Legal	2,745,136	2,745,136
51	Consulting	2,419,750	2,419,750
52	Investment Services (Travis County)	126,000	126,000
53	Benefits and Payroll Administration Services	635,483	635,483
54	Other professional goods & services	2,040,350	2,040,350
55	Marketing and Communications	249,061	249,061
56	Leases, Security and Maintenance	1,253,250	1,253,250
57	Insurance and Risk Management	412,500	412,500
58	Phones, Computer Equipment and Utilities	1,149,186	1,149,186
59	Printing, Copying, Postage and Signage	53,425	53,425
60	Travel, training and professional development	386,695	386,695
61	Other operating expenses	205,365	205,365
62	Appraisal District Svcs	1,213,118	1,213,118
63	Tax Collection Expense	1,084,297	1,084,297
65	Total Administration	28,647,030	28,647,030	0
66	UT Affiliation Agreement	35,000,000	35,000,000
67	TRANSFERS OUT
68	Transfer to capital reserve
69	Transfer to emergency reserve	8,019,240	8,019,240
70	RESERVES
72	TOTAL EXPENSES	364,413,076	366,913,076	2,500,000
73

July 12 – Central Health Strategic Planning Committee Meeting (FY 2024 Strategic Priorities)
July 26 – Central Health Board of Managers (FY 2024 Central Health Long Term Forecast)
Aug 2 – Central Health Strategic Planning Committee Meeting (Central Health – Health Equity Action Plan)
Aug 9 – Central Health Board of Managers Meeting (FY2024 Central Health Proposed Budget)
Aug 17, 22, 28 – Community Conversations (FY2024 Proposed Budget)
Aug 23 – Central Health Board of Managers Meeting (FY2024 Central Health Proposed Budget and vote on maximum tax rate)
Aug 24 – Travis County Commissioners Court – Work Session (FY2024 Key budget drivers and health equity action plans)
Aug 30 – Central Health Public Hearing (FY2024 Central Health Proposed Budget and tax rate)
Sept 6 – Central Health Board of Managers Meeting (FY2024 Central Health Budget and Tax Rate Adopted)
Sept 7* – Travis County Commissioners Court- Work Session (FY2024 Central Health Proposed Budget and tax rate)
Sept 19* – Travis County Commissioners Court (FY2024 Central Health Budget and Tax Rate Adopted)
Sept 25 – Special Called Board of Managers Meeting
Sept 26 – Travis County Commissioners Court

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Fiscal Year 2024 Budget & Tax Rate

FY 2023 APPROVED BUDGET AND FY 2024 PROPOSED BUDGET SOURCES AND USES SUMMARY

Budget Calendar